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POLICY NUMBER_ BOPSS tfi255 <br />BUSINESS OWNERS <br />BP Od 70 07 02 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />ADDITIONAL INSURED -OWNERS OR OTHER <br />INTERESTS FROM WHOM LAND HA5 BEEN <br />LEASED <br />This endorsement modiR es insurance provided under the following <br />BUSINESSOWNERS C04ERAGE FORM <br />SCHEDULE' <br />Name Of Person Or Or?ganlzation: <br />City of Santa Ana, Its officers, agents, employees and repres8ntatives <br />City Attorney Office <br />2D Ciric Canter Plaza <br />Santa Ana, CA 92702 <br />D@signatlon of Premises (Part Laased To You) <br />• Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Decla- <br />rations. <br />The following is added to Paragraph C. Who Is An <br />Insured in Section II-Liability <br />4. The person or organization shown in the Schedule <br />Is also an insured, but only with respect to liability <br />arising out of the ownership, maintenance or use <br />of that part of the land leased to you and shown in <br />the Schedule and subject to the following addi- <br />tional exclusions- <br />SP 04 10 D7 02 ISO Properties, Inc <br />This insurance does not apply to' <br />a_ Any "occurrence' that takes place after you <br />cease to Fease that land_ or <br />b. Structural alterations, new construction or <br />demolition operations performed by or for the <br />person or organization shown in the Scfiedule. <br />AppR¢y$D A5 TO FOAM <br />t15A E. SZOt?K <br />p,ssistant City Attorney <br />?y <br />Page 1 of 1